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The Research Of Clinical And Promotion Evaluation About Justing-spleen-treating-heart Protocol Of Coronary Heart Disease Treatment

Posted on:2013-01-23Degree:DoctorType:Dissertation
Country:ChinaCandidate:L N HuFull Text:PDF
GTID:1114330371998933Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
ObjectiveThe study selected stable angina pectoris qi deficiency and phlegm network card, has two purposes. First, it was designed to observe the cli-nical efficacy and safetyindicators of Professor Deng Tietao Tiaopi care Heart treatment programs. Second, to form a complete promotional methods and to assess the promotion of this program in Chinese medicine hospital.MethodsClinical research in accordance with the methods of the cohort study, observation of the coronary heart disease with stable angina pectoris qi deficiency and phlegm network card the inclusion criteria (n=197), divid ed into exposed and non-exposed group. Western basic treatment, Professor Deng Tietao Tiaopi Heart care treatment exposure group I patients with no n-exposed group (including the basis of the treatment group purely Western, and Western basic treatment group joint other Chinese medicine decoction) Observation and treatment before and after one year of clinical efficacy (symptoms of angina, electrocardiogram, TCM symptoms, the SAQ score,etc.), and security to make the evaluation.Ways to promote the combination of multimedia teaching and clinical teaching, training six weeks. The evaluation method uses two parts:the first part of preparing students for assessment paper assessment,independ ent clinic assessment and scale investigation of three methods;assessment part of the second part is taught by the main scale investigation.ResultsFirst, the clinical research enrolled211patients before treatment was no significant difference (P>0.05) were comparable. However, two groups of males was significantly higher than that offemales. Six months after t reatment, the findings show:(A) The clinical efficacy(1)Improvement of angina symptoms:the exposed group and the non-exposed group were significantly improved in the treatment of symptoms, angina symptomspoints lower(P<0.01);symptoms of angina and the treatment group were significantly better than the control group (P<0.01).(2)Chinese medicine symptom improvement:the exposed group and non-exposed group were significantly improved in the treatment of symptoms, TCM syndr-ome score lower (P<0.01);TCM symptoms of the treatment group were signif-icantly better than the control group(P<0.01).(3)ECG efficacy:After treatment, the exposed group ECG always more effic-ient than non-exposed group,but P>0.05, the two groups in the ECG efficac-y, no significantdifferences.(4)Score of the SAQ score:the exposed group and non-exposed group after treatment, decreased quality of life improved significantly(P<0.01);betwe-en the two groups, the exposed group improved quality of life of patients with angina pectoris was significantly better than non-exposed group (P<0.01).(B)The security indexThe safety of the treatment group and control group there were signif icant differences (P>0.05) two sets of security, and no serious adverse reactions havegood security.Second, the promotion of evaluation studies(A)Promotion:three research units were six doctors to participate in the promotionof training and examination(1)A paper assessment:papers assessment of all the trainers in more tha-n90points.(2)An independent clinic assessment:18trainers clinic a total of36patients, including three cases of patients with the training programs are different,conformityof91.6%.(3)Rating scale:the promotion of three hospitals,(a)Three hospitals generally on the overall teaching objectives, heart s-pleen deficiency, phlegm and blood stasis blocking collaterals primary d- isease and thedisease is summed up the tongue and pulse, multimedia teach-ing, awareness of thetongue like a map, teaching attitudes, teaching effec-tiveness and acceptance that tobe able to use the knowledge to solve pra-ctical problems in the admissions, andimproved on the basis of the origi-nal; the same time, the pulse schematicawareness and acceptance of a lowe-r difficulty and focus of the speakers in theteaching not prominent, and the teaching ability and classroom managementcapacity is relatively weak.(b) three hospitals, Jiangmen Wuyi Hospital of Traditional Chinese Medici ne topromote awareness and acceptance of the treatment options for the be st, and theawareness and acceptance of the Huizhou City Hospital is relat ively low.(B) EvaluationOf this research program awareness and acceptance of high Jiangmen Wuyi Hospital of Traditional Chinese Medicine, the final grasp of the re-search program is also good, on the contrary, the other two hospitals are relatively poor.ConclusionThe retaining Heart of Western basic treatment,Professor Deng Tietao Tiaopiefficacy of stable angina pectoris Qi Deficiency and Phlegm and Bl-ood Stasis. Can improve symptoms of angina, TCM symptoms, improve quality of life, reducing theamount of nitroglycerin, and the safe, reliable, and can be used as the clinical application of a good joint to be recognize-d by the Chinese Medicine Hospital of theLingnan region, should be widely applied.
Keywords/Search Tags:Deng Tie-tao, coronary heart disease, Qi Deficiency and Phlegm and Blood Stasis, treatment programs, promotion evaluation
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